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Water & Sanitation
This project sought to improve the health of Nias communities through delivery of safe, clean water and sanitation through wells, springs, rainwater tanks and building public latrines and hygiene education
The specifics of the link between hygiene and health are often poorly understood in isolated Nias communities. Consequently SurfAid adopted the Community-led Total Sanitation (CLTS) approach, which provides a graphic introduction to the relationship between open defecation and community health. Within CLTS the process of "triggering" focuses on raising community awareness of the health risks associated with open defecation, and by the end of the triggering process it is expected that some individual community members will be sufficiently motivated to undertake to build their own latrines.
Like all other Watsan interventions, CLTS is only effective where there is on-going community support. Therefore SurfAid has focused considerable resources into ensuring that communities receive hands-on assistance in the form of training, education, and technical and logistical support.
CLTS has been implemented in 13 dusun (hamlets) in five villages in Afulu and Alasa. This process of triggering is designed to raise awareness of the sanitation status of the community, and to motivate community members to take action for themselves. At the end of each triggering session, members of the community are invited to sign up (literally, on a large piece of paper located in a prominent position) to construct their own latrines using local materials. In some instances community members who did not sign up to manufacture latrines at the time of CLTS triggering will be motivated by the efforts of their neighbours and will build their own (eg Botolala signed up for 68 latrines and ultimately built 79).
There is no subsidy offered by SurfAid for the construction of latrines. However SurfAid does provide support, which is delivered by two Community Facilitators and three Technical Facilitators who have been recruited to help deliver this program.
The significance of the CLTS component of this program is demonstrated by the fact that 257 latrines have been constructed, and a further 80 have been committed. In addition, these triggered communities now have an appropriate internal process by which the construction, maintenance and use of latrines can be monitored, the community action plan implemented and the objective of ODF (open-defecation free) achieved.
In order to attempt to improve the incremental value-add still further, SurfAid has continued to try to identify natural leaders within some individual communities, and to encourage and support them to lead their own CLTS process (without the hands-on support of SurfAid staff members). This process was piloted with two women from Sitiboa, who implemented CLTS triggering in their own community, then successfully established a commitment to build 24 latrines (which eventually became 26). This self-realisation is a key component of the CLTS process.
Provision of Watsan facilities to some individual communities has also been an integral component of this program to date.
Community baseline data has been collected as part of the CLTS process. The key indicators for achieving CLTS are:
In this program, the focus of CLTS has been the construction of latrines and the drive towards community-wide ODF status. Throughout the program SurfAid staff have monitored progress in each community. This has been done both formally and informally, and has required visits to individual households in order to assess hygiene behaviour, monitor the use of latrines, and make an assessment on the ODF status of the community.
Depending on the outcome of these assessments, individual households are classified as green, yellow or red. This simple approach is particularly appropriate for isolated communities which contain a high proportion of illiteracy. The status is determined by the following guidelines:
Total households assessed: 312
Total green status: 236 (76%)
Total yellow status: 36 (12%)
Total red status: 42 (13%)
Footprints fundraising was directed to a component of the larger WATSAN Nias project with multiple funding partners, the following financial report is therefore a percentage of the total funds directed to the two sub districts of Afulu and Alasa.
Total Footprints Component $10,017
including components for
Plant and Equipment: $3815
Community Training: $2382
The key objective for the next two months is to complete the construction phase of the project. While this has been delayed, there are no major hurdles left to be tackled and the SurfAid team will be able to work through the backlog and complete the job by the end of June 2010.
SurfAid will also follow up each of the communities that have been triggered and continue to provide logistical and technical support with latrine construction. It is anticipated that the success rate in converting committed latrines to actual latrines will be close to 100% by the end of June, and well over that figure by the end of 2010. This represents outstanding value-add to the money already spent on the project.
Through the Community Based Health Program in Nias, SurfAid will use the learning experiences from this project to improve CLTS triggering and follow-up, and will incorporate this experience into the CLTS work in the Mentawai Islands. Community groups will be encouraged to request support whenever it is required.
There is further follow-up required with regard to the ODF status of individual households and wider communities and review and assessment of facilities requiring repair and maintenance. Over the course of the next six to 12 months, communities will continue to be monitored and their status tracked.
You can stay in touch with this project and other work work via SurfAid's Twitter Feed and Facebook page.
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